Provider Demographics
NPI:1578655239
Name:MCALPIN, KEVIN SHANE (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:SHANE
Last Name:MCALPIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3802 21ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1011
Mailing Address - Country:US
Mailing Address - Phone:806-722-4190
Mailing Address - Fax:806-722-4192
Practice Address - Street 1:3802 21ST ST STE A
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1011
Practice Address - Country:US
Practice Address - Phone:806-722-4190
Practice Address - Fax:806-722-4192
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178593301Medicaid
TX8D3936Medicare PIN